Solution-Focused Brief Therapy PDF

Saint Louis College City of San Fernando, La Union Beacon of Wisdom in the North Psych El 2: Introduction to Counseling CHAPTER XIII SOLUTION-FOCU...

Saint Louis College City of San Fernando, La Union Beacon of Wisdom in the North Psych El 2: Introduction to Counseling CHAPTER XIII SOLUTION-FOCUSED BRIEF THERAPY - solutions andbrief therapy as focus A. BASIC PHILOSOPHIES AND PRINCIPLES 1. Eschew the past in favor of the present and the future 2. No interest in understanding the problem and focused on what is possible 3. Little attention is given to diagnosis, history taking or problem exploration 4. Basic principles: a. There are advantages to a positive focus on solutions and on the future b. Individuals who come to therapy have the capability of behaving effectively, even if they are temporarily blocked by negative conditions c. There are exceptions to every problem. Invite clients to examine another side of the story. Any problem is solved one day at a time d. Each individual is unique, so too is each solution B. KEY CONCEPTS 1. Positive orientation: people are healthy and competent and have the ability to construct solutions that can enhance their lives. Therapists only help clients recognize the competencies the possess and create solutions rather than talking about their problems - 2. Downplay “past”, while highlight “present and future” 3. View of people are healthy, competent, and resourceful, and have the ability to construct solutions to enhance their lives 4. Looking for what is working: therapists assist people in paying attention to the exceptions to their problem patterns from their stories. Therapists encourage clients to write a different story to have a new ending to ask the coping mechanism ofthe client assess whatcoping mechanisms work C. THERAPEUTIC GOALS  Goals are unique to each client and are constructed by the client to create a richer future 1. Goals are stated in the positive in the client’s language e.g: stressmanagement fustering happiness - 2. They are process or action-oriented do-er client; putnatuturan into -> use 3. They are structured in the here and now presentis focus -> the 4. They are attainable, concrete and specific 5. They are controlled by the client therapist only guides ->  Concentrate on small, realistic, achievable changes that may lead to additional positive outcomes to signal beginning of change D. THERAPIST FUNCTION AND ROLE 1. No knowing position: clients as experts about their own lives 2. Create a collaborative relationship problems;avoid emphasis on weakness ->not 3. Create a climate of mutual respect in which clients are free to create and explore solutions 4. Help clients to explore what they would like things to be different, how to make a difference, and what signs to indicate the changes are happening E. THERAPEUTIC PROCESS  Saint Louis College City of San Fernando, La Union Beacon of Wisdom in the North Psych El 2: Introduction to Counseling  The therapist and client collaborate to construct solutions, where therapist accept people where they are and trust their intention to solve their own problems  Focus on small, realistic, and achievable changes (small change lead to big change)  Remain goal-directed and future-oriented (shat has changed since last session?) whatclientobserved -  Talk about solutions instead of talking about problems about themself. F. THERAPEUTIC RELATIONSHIP  The therapeutic relationship is an important factor for change to occur  Solution focused brief therapy is designed to be brief, so therapist must shift the focus as soon as possible from talking about problems to exploring solutions  Help clients to use their strengths and resources to construct solutions  Three kinds of relationship: 1. Customer: client and therapist jointly identify a problem and a solution to work toward 2. Complainant: client describes a problem but is not able or willing to assume a role in constructing a solution 3. Visitor: client who comes to therapy because someone else thinks he/she has a problem G. THERAPEUTIC TECHNIQUES observable 1. Pre-therapy change: what have you done since you made the appointment that has made a big. Changes- difference in your problem? efforts no ginawa prior sessionto to realize problem C consistent 2. Exception questions: direct clients to times in their lives when the problem did not exist is not 3. Miracle question: If a miracle happened and the problem you have was solved overnight, what would be different? help clientvisualize the bestsituation they can be in ifthey overcome their problem. 4. Scaling questions: on a scale of 0 to 10, where 0 is the worst you have been and 10 represents the problem being solved, how would you rate your anxiety right now? use itemotion cantbe described - 5. Formula first session task: ask clients to observe about what happens in your life (relationship, family…) that you they want to continue to happen dapatmay consistency, disruption;tosee mostvaluedaspecttheir no diging: to solution 6. Therapist feedback to clients: therapists provide summary feedback for clients---compliment - - I- new ex lain the client pare accept ni what clients have done toward effective solutions, provide rationale for the suggestions, and solution free assign the suggest a homework assignment as assignment H. MULTICULTURAL IMPLICATIONS 1. Both individual and societal changes are goals for therapy 2. Called attention to the negative impact of discrimination and oppression for both men and women 3. Biased towards the values of white, middle-class, heterosexual women